单侧声带麻痹的临床疗效评估及研究进展  

Clinical Efficacy Evaluation and Research Progress of Unilateral Vocal Cord Paralysis

作　　者：朱新蓓 范蒙 徐诗霞 周汝环 ZHU Xin-bei;FAN Meng;XU Shi-xia;ZHOU Ru-huan

机构地区：[1]合肥市第二人民医院耳鼻喉科,合肥232200 [2]皖南医学院,芜湖241002

出　　处：《中国听力语言康复科学杂志》2023年第5期520-524,共5页Chinese Scientific Journal of Hearing and Speech Rehabilitation

基　　金：合肥市医疗卫生“借转补”研发项目(J2020Y05)

摘　　要：单侧声带麻痹(unilateral vocal cord paralysis,UVFP)是由多种原因引起单侧支配喉内肌的运动神经传导通路受损,引起单侧声带运动障碍、声门闭合不全的疾病,主要症状包括发音困难和吞咽困难,影响患者的生活质量。临床评估方法包括语音评估、吞咽功能评估、声带振动评估、影像学检测、实验室检查以及喉神经电生理检查等。UVFP的治疗方法包括保守治疗,如病因治疗、药物治疗、声音疗法,目前保守治疗尚未确立为标准治疗方法。手术治疗有注射喉成形术、喉返神经修复术,包括喉返神经减压术、喉返神经端端吻合术、替代神经转位喉返神经吻合术,其中颈襻-喉返神经吻合术效果最佳,以及喉成形声带接近术以及联合手术等。Unilateral vocal cord paralysis(UVFP)is a disease caused by a variety of causes of unilateral motor nerve conduction pathway damage innervating the laryngeal muscles causing unilateral vocal cord dyskinesia and glottic insufficiency.The main symptoms include dysphonia and dysphagia,which greatly affect the quality of life of patients and require effective treatment to recover.The methods of clinical evaluation include speech assessment,swallowing function assessment,vocal cord vibration assessment,imaging examination,laboratory examination and laryngeal nerve electrophysiological examination for evaluation.Various treatments have been proposed for UVFP,including conservative treatments(e.g.,etiological treatment,medical treatment,sound therapy),which are not currently established as standard treatments.In severe cases,surgical treatment includes injection laryngoplasty,recurrent laryngeal nerve repair(including recurrent laryngeal nerve decompression,recurrent laryngeal nerve end-to-end anastomosis,alternative nerve transposition recurrent laryngeal nerve anastomosis,of which cervical loop-recurrent laryngeal nerve anastomosis is the best),laryngoplasty vocal cord proximity,and combined surgery.

关 键 词：单侧声带麻痹 评估 治疗 

分 类 号：R767.4[医药卫生—耳鼻咽喉科]